Walls Melissa L, Hautala Dane, Hurley Jenna
University of Minnesota Medical School-Duluth.
Transcult Psychiatry. 2014 Feb;51(1):47-72. doi: 10.1177/1363461513506458. Epub 2013 Oct 4.
This paper brings forth the voices of adult Aboriginal First Nations community members who gathered in focus groups to discuss the problem of youth suicide on their reserves. Our approach emphasizes multilevel (e.g., individual, family, and broader ecological systems) factors viewed by participants as relevant to youth suicide. Wheaton's conceptualization of stressors and Evans-Campbell's multilevel classification of the impacts of historical trauma are used as theoretical and analytic guides. Thematic analysis of qualitative data transcripts revealed a highly complex intersection of stressors, traumas, and social problems seen by community members as underlying mechanisms influencing heightened levels of Aboriginal youth suicidality. Our multilevel coding approach revealed that suicidal behaviors were described by community members largely as a problem with deep historical and contemporary structural roots, as opposed to being viewed as individualized pathology.
本文呈现了成年原住民第一民族社区成员的声音,他们聚集在焦点小组中,讨论其保留地的青少年自杀问题。我们的方法强调参与者认为与青少年自杀相关的多层次(如个人、家庭及更广泛的生态系统)因素。惠顿对压力源的概念化以及埃文斯 - 坎贝尔对历史创伤影响的多层次分类被用作理论和分析指南。对定性数据记录的主题分析揭示了社区成员视为影响原住民青少年自杀率升高的潜在机制的压力源、创伤和社会问题的高度复杂交织。我们的多层次编码方法表明,社区成员将自杀行为主要描述为一个有着深厚历史和当代结构根源的问题,而非被视为个体病理问题。